HomeMy WebLinkAbout068-010-011068-010-011 99-1687SURDUKAN, Gabe
5059B
BRADBE RRY, Ronnie 3915E
A05 Bessie Lane, Oroville —
'��__ 4861E r
Contr: Alladin Roof / i � � /
1V
Re Roof 105 Bessie Lane, Oroville i
garage to living area)
068-010-011 _ 99-2892 (convert g
ROBINETTE, ROBERT
105 BESSIE DIVE, OROVILLE"Vo S, S. John ��
CONTR: OWNER �i� 3102B
GAS LINE 2537E . k 0
3186E n
068-010-011 00-0008 4
ROBINETTE, ROBERT Lots 16 & 18, Orangedale Sub., Orovi e ,
(new, single famil
y - 2 houses) �
105 BESSIE LANE, OROVILLE ��e-p t tt
CONTR: LA GRONE A
INSTALL HEATER` I/��/-�a"�
.-i-
B07-0531 068-010-011"'
MISCELLANEOUS_ Siding/Stucco _
SIDING, VINYL 15 SQ'S e•� "
105 BESSIE LN -3-077--e7
LUCERO, DANIEL F & ELAINE��,
0
BUTTE COUNTY AREA
DEPARTMENT OF DEVELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds
Permit No: B07-0531 Issued: 03/20/2007
Address: 105 BESSIE LN Area: OROVILLE
Owner: LUCERO, DANIEL F & EAPN: 068-010-011
Applicant: SELIG CONSTRUCTIONMap Page:
Permit Type: Siding/Stucco
Description: SIDING, VINYL 15 SQ'S
Flood Zone: None SRA Area: Yes
SETBACKS
Front Setback: Side Setback:
Rear Setback: Other Setback:
Minimum Setback From Centerline of Street:
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/H oldowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Finals
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Pool Final
802
Mobile Home Final
802
Inspection Type I
IVR I INSP I DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
504
Gas Test
404
Pre-Gunute
506
Pool ElecBonding/Light Nitch
502
Pool Fencing/Alarms/Barriers
503
Pre -Plaster
507
Manufactured Homes
Setbacks
132
Blocking/Underpining
612
Tiedown/Foundation System
611
Site Utilities/Trench Insp.
137
Gas Test Yard
404
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Publlc Works Fina
538-7681
Fire Department/CDF
538-7111
Env. Health Final
538-7281
Sewer District Final
"PROJECT FINAL
1 801, Z:7 . C
-rrulect r mai is a ♦.eruncace of occupancy for txesiaenum vmy)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
-7
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 105 BESSIE LN
Owner:
Permit NO: B07-0531
APN: 068-010-011
LUCERO, DANIEL F & ELAINE
Issued Date: 03/20/2007 By TMP
Permit type: MISCELLANEOUS
105 BESSIE LN
Subtype: Siding/Stucco
OROVILLE, CA 95966
Expiration Date: 03/19/2008
Description: SIDING, VINYL 15 SQ'S
Occupancy: Zoning: A5
Contractor
Applicant:
Square Footage:
SELIG CONSTRUCTION CORPORATION
SELIG CONSTRUCTION COP
Building Garage RemdUAddn
337 HUSS DRIVE
337 HUSS DRIVE
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(800) 886-5897
(800) 886-5897
FEE INFORMATION
DBMSC Stucco/Siding-Stone/Bric $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B2229
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
SELIG CONSTRUCTION CORP, 711042 / B C 47 / 08/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and elle
of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 03/20/2007
the applicant to a civil penalty of not more than five hundred dollars [$500);
Please check one of the following:
Contractor• gna Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are notintended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Cartier: VIRGINIA SURETY Cpolicy Number:006-00026261 Exp. Date:01/06/2007
Contractor's License Law.).
(This section nee not a completed if the permit is or one un re otters ($100) or ess.
I AM EXEMPT under Section B. 8 P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
03/20/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
XZAE 03/20/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property�v at or authorized to act on the property owner's behalf.
CONSTRUCTION LENDING AGENCY
�` 03/20/2007
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee (SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner ❑ Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
r
BUTTE COUNTY
o�vTTF0 DEPARTMENT OF DEVELOPMENT SERVICES
o o BUILDING PERMIT APPLICATION
° ° OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
o-
c `'� ��-• c A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
'
C . .� Website: www.buttecounty.net/dds
UN "PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
^
First Name
ailing Addr ss .',' - '
City, �r,, /
/
S ateG,
Zip7 L� /O�p
Ph r!"D _
Fax
mail
APPLICANT INFORMA_ TICrN_ _______1
Addres ,
City staj�
2/," ci "d I Fax
APPLICAh7'SIGNATU t:
i
h
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
Property Address Gs & c G /
City L
WORKER'S 'COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
r
's
Sq ''F - LiLil,;Qg —� Garage Open Cov
Struct•-.e G Jilt W.:hout Permits
' Pro! -:.sed Chan ie of Occupancy
(Note prey!;:,L;7
rFor office use orr�.� — _ - — ----
'ori!'g : . i'i�od Z- f,, SRA es wo
ARCHITECT/ENGINEER
CONTRACTOR
Name Je /
Address 3 3
�� f'� 1)1--lixe
City
P
State
Zip 9S 2
Phon
j' 5 0 z
Fax
i4vgx
E-mail
State License Number
Lic. #
��� G�Z
Class C
APPLICANT INFORMA_ TICrN_ _______1
Addres ,
City staj�
2/," ci "d I Fax
APPLICAh7'SIGNATU t:
i
h
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
Property Address Gs & c G /
City L
WORKER'S 'COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
r
's
Sq ''F - LiLil,;Qg —� Garage Open Cov
Struct•-.e G Jilt W.:hout Permits
' Pro! -:.sed Chan ie of Occupancy
(Note prey!;:,L;7
rFor office use orr�.� — _ - — ----
'ori!'g : . i'i�od Z- f,, SRA es wo
ARCHITECT/ENGINEER
Name
Address
City
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMA_ TICrN_ _______1
Addres ,
City staj�
2/," ci "d I Fax
APPLICAh7'SIGNATU t:
i
h
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
Property Address Gs & c G /
City L
WORKER'S 'COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
r
's
Sq ''F - LiLil,;Qg —� Garage Open Cov
Struct•-.e G Jilt W.:hout Permits
' Pro! -:.sed Chan ie of Occupancy
(Note prey!;:,L;7
rFor office use orr�.� — _ - — ----
'ori!'g : . i'i�od Z- f,, SRA es wo
Situs Address
.......................................
NameAddress
Assessor Inquiry - Main
Asmt: 068-010-011-000 Feepareel: 068-010-011-000
Owner: LUCERO DANIEL F ELAINE
105 BESSIE LN OROVILLE
........................................................................
LUCERO DANIEL F & ELAINE
105 BESSIE LN
OROVILLE CA 95966
Status Date
ACTIVE
_.........................................................................
Taxability Code Descr
.........................................................._.............................
000
NORMAL
............................................................................................................
TRA F Base Date
.........................................................................................
091 001
02113!2001
......................................................................................................................................................................................................
Creating Doc# Date
198684683300
......................................................................................................................................................................................................
Current Doc# I Date
2001 R 0005879
102/13/2001
......................................................................................_....................
Terminating Doc# I Date
-........................................................................................
..................................................................................................
Neighborhood C___ S u p I C n t
.........................................................................._................................
.........................................................................................
068
1
Asmt Description
_........................................................................................
105 BESSIE LN
............................................................................................................
Land Use 1 1 LandUse 2
.........................................................................................
1
............................................................................................................
Zoning 1 Dwell 1
..........................................................................................
AR1
1
..........................................................................................................
Acres SgFt
_.........................................................................................
0.8
0
......................................................................................................................................................................................................
SSN1 ISSN2
I --
Main I Notes I Ownership Detail I Ownership History I Exemptions I Mfg Homes I Attributes I Value History I Situs I Sales
Ready.MPTS200007l20l200611:59:08AM
r- r, 068-010-011 00-0008
ROBINETTE, ROBERT
105 BESSIE LANE, OROV[LLE.
CONTR: LA GRONE H&A
INSTALL HEATER
3- z d a d
f .
OFFICE COPY
Address
G AS
Meter By
ELECTRIC
Meter By Date
e
' rJ .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPVENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541M! �� IT.NO.
(Revn2/9E) APPLICATION AND PERMIT (•s/ �{
ASSESSOR -ARC0.NUMBER
()6R- 110-011
ZONING
1
BUILDING PERMIT
OWNERAINEITE ROf3�.T
tax
TELEPHONE'
StiN-556
SO. FT. OCC. BUILDING VALUATION
Dui t5isibatI3t OROV1L..
CQ O�E r,,%[0Aa
15-53-3701
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S 1"UNG ADDRESS
Total Valuation $
ARCHITECTOR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
e UPJ t�RMIE LN, OROVIU.E
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
,
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: INSTAR.. W'IIR RR 99-2592
`
Gas piping By stem t - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W 1
920.00
PERMIT FEE $
r
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200Av os mss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (corimnencing with Section 7000) of Division 3 of the Business and Professions Code,
and my licens'e.is in full force and effect.
License Class _'Q/ ••c�Lic. No. ��__7 9f ;2 /
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this .
r=_ason
Main Service zUUA TO tOooA
46.00
NEW CONST.DWELLMICi OCCUP.
OR ADDNS. ( a ACC. O S.
SO
3.5¢7:
rpµp�Ip. NEW T MULTI -OUTLET
@7.50
POWER APPARATUS
8 SMIGLE 0CIR.
Ex. Occup. OUTLET OR FORURES
20 @ 1.00
BAL @ .w
Ex. Occup. ounFrs PR o.) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penaltyof perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
X I iave and will maintain workers' compensation insurance, as required by Section
:700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier �r1�i" C\ \ ��.,! i. n r • (\ T , - P, -I .-,1
Folicy Number A�IC O C!^ O— ,_6496-
(The above sections need not be completed if the permit is for work of a valuation
cf one hundred dollars ($100) r less.)
❑ 1 certify that in the performanc of they ork for whicl T this permit is issued, I shall
rot employ any person in a \ iL1'anr rlsa as to become subject to workers'
compensation laws of California, and dgred 4ha��f I should become subject to the
workers' compensation provisions of sectioAb700 of•the Labor Code, I shall
f0rthwithl•comply with thos0 isions. V
X �6 Date jL"/riiO
SlgnaiL1_of Applicant - ❑ O ❑ Contractor `❑ Agent
An OSI -A permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
HeatingLJ UV
Cooling
Hood 6.50
Ventilation
'�;
4 PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee , $ -
occ �.
CONST. TYPE �.l.
T'�TAL FEE $
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County, Code and/or Resolutions to do work
indicated above for which fees have been paid.
By4101dwtL4Date 01110
Lf- r
PERMIT EXPIRES ON
I kate)*
Receipt No.
WHITE-C-D.S.• .D. CANARY -ASSESS -OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT QF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT O.
(12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
068-010-011
ZONING
BUILDING PERMIT
'MDINEITE ROBERT
Ml- 956
SO. FT. OCC. BUILDING VALUATION
O W§ftEsY,N, OROVILLE
`rZ1(TA fflEHEATING AND AIR
TELEPHONE3-701
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
'tMA SIE IN, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: INSTALL HEATER RE : 99-2892
Gas piping sy2tem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W I
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR LE
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class G _?/ Lic. No. 6?3% , %
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00SO
CCU000A
NEW coNsr. owELUNo occuP.
DWE200ALLING
OR ( ACC. BLDSS.
3.52Fr°;
CONS.
M
NON-RSID.
97.50
APPARATUS
8 SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
BAL Q I. 0
FIXED APPWS. . OR
Ex. Occup. OurLETs RFSIDEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier x%n/L n Zl!�R C\ _ZAi c, lGankerif
MECHANICAL PERMIT Fling Fee 20.00
Heating 15.00 15. ou
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Dumber A C 46 %— /,69
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthw' omply with those provisions.
XDate y,�Cc79
Signature of Applicant - ❑ Owa ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE , UU
TOTAL FEE $
HA2.
D. FEES IMP
I FLOOD
I CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date / ��
PERMIT EXPIRES ON Q
ate
Receipt No.
WHITE-D.D.S.-B.D. C NARY- SSES R PINK -INSPECTOR GOLDENROD -APPLICANT
k COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oraville, California 95965 • Telephone (530) 538-7541 PERMIT N-
(Rev.12A 16) APPLICATION AND PERMIT
"SMOAPARCKWIWIM
D01MO
BUILDING PERMIT
O1N"°" Akl�
SO. FT. OCC. BUILDING VALUATION
OWN11" ►wDa ADDRESS
00MrRA TORT NAIL
'
/L
TUOMME
31�J
ODNTRAOrmlMMAQADORess
0015TRUCTION LMM
LINDOM MAasw AWFMS
Fireplace
Total Valuation E
ARCNRECTORDOMEER
uceme No.
Filing Fee
S
20.0(
Permit Fee
S
ARCW= OR VOM ERs MAILING ADORtas
Plan Checking Fee
i
GU ON0i1DDRIMS `
Energy Plan Checking Fee
=
PERMIT FEE _
WTNO.
stLeDNADNIlNI!
PARCEL IW
PLUMBING PERMIT
Filing Fee
20.00
USEOFSTRUCTURE
SF M Duplex O Mobilehome 0 Other
.PEcrY
Each Tr
7.00
Solar or hent pump water heater 23.00
Water piping 15.00
Each as water heater or vent
15.00
TYPE OF WORK
New O Addition O Remodel O UIIWes O 0
Describe Work: ��d��
Other O
Gas piping system 1 - 5 outlets
15.00
Buildingsewer 15.00
Mobile Home I S G W p20.00
PERMIT FEE !
ELECTRICAL PERMIT
Fltn Fee
20.00
Main Service ow oo. L E.
223.00
-
— --- ---
Main Service 2ooA To IowA 48.00
taw CONST. OWELL*Q =P. 3.5(GSSOr.
OR ADDNS. &A=. RDs.
NON-RESID. w=g' BRANCHuuLWC rtLErOMM 07.50
POAPPAMTLN
i 9WER OUTLET d0.
20
EX. Occup. OUTLEr OR FWnMES
Ex. OCCU MDA"IM oR 5.00
OIrTLET9 ESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Wsc. Wiring 23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee
20.0(
Heating (J
OR
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee I S.
occ CONST. TYPE TOTAL FEE S106)
NAL.
1 o. FEES I IMP
I FLOOD
I Cor
I PARCEL
Po
NO 16Si
This permit is hereby Issued under the applicable provision!
of the Butte County Code and/or. Resolutions to do wor}
indicated above for which fees have been paid.
By Date �--
PERMIT EXPIRES ON
�. —. �. . r �._ ^ 4+T" ::;i'hivYr?`i".,-..s, v— `..-. .,-«,,r��a;a�p�+,�.?,<�,rfGi• J� r^.'.g`v. _.,�ra9`z'..a7 tf'alb`t�n�J.v,�>),M�-�:�ir�,'A�!'�<: i",�t�J''�.-.:.-�,�"7'
}
068-010-011 99-2892
ROBINETTE, ROBERT
105 BESSIE LANE, OROVILLE
c CONTR: OWNER
GAS LINE
COUNTY OF BUTTE - DEPARTMENT OF DEVE6 0PMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 '�l l�+�PERRM �NO.
(Rev.12/96) APPLICATION AND PERMIT �C
ASSESSOR PARCEL NUMBER
ZONING- J
BUILDING PERMIT
C f rkl(l i.��Ti9 lir.
j =j�
SO• FT• OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
LO5 BESSIE Li'l ORO'VIU.E. 95966
CONTRACTORS NAMETELWNONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
?
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECFf
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G I W
9,20:00
PERMIT FEE $
�-�•
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o0A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
XI, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
10 construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. SMS.
SO
3.50FT;
rID, MULTI.OUTLET
NjON-gES
97.50
POWGERLEUTLET APPARATUS
8 SINOCIR.
Ex. Occup. OUTLET OR FIXTURES
BA0 °p I:w
FUCE. OR
EX. Occup.ounETs D APPLNSRESID. EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE s
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
tW I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply,,with those provisions.
X ate
Signature p A p (cant -Owne Contractor ❑ Agent
An OSHA permit is require for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By I �. Date
�y� 1
PERMIT EXPIRES ON,��rc�% [. '
Date
Receip'P %
WHITE-D.D.S.-B. . - CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Californiae95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96� APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
- -
068-010-011
ZONING AR1
BUILDING PERMIT
OvROVVERT ROBI=E
OvROVER
TJ C) J° 5956
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAULING ADDRESS
105 BESSIE LN OROVILLE 95966
CONTRACTORS NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
10
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S5.00
ELECTRICAL PERMIT
Filing Fee 20.00
R LES
Main Service p A800V OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lew for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I000A
46.00
NEW CONST. DWELLING OCCUP.
OR( ACCoBWE
I
3.50so
cooks
NEWr
M
NON•RESID.
97.50
FGWEPPARATUS
�` SINGLER A
. T. CIR.
Ex. OCCU OUTLET OR FIXTURES
B20 50
I'
w
FILED APPWS. OR
Ex. Occup. OUTLETS RESID. EA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith Com th those provisions.
X /� ate
Signature A plicant - Own Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE v
HAZ,
I D. FEES IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
-
By
PERMIT EXPIRES
the applicable provisions
Resolutions to do work
been paid.
Date & 1�ovhv
pg�e
Receipt No.4yJ a&D
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, Cathornia 95965 • Telephone (530) 538-7541 PERMIT NC
(Rev.1m6) APPLICATION AND PERMIT
ASS EfaOR PARC& KUMM 6
16
m A9
BUILDING PERMIT
O0WA '0ER �6,�,E
"° 36
SO. FT. OCC. BUILDING VALUATION
Ow040111 MAiJNGOMS
/o 57 Fs / o/L0v7ccE 95-
Misc. Wiring
23.00
OONTRACrOR•a NAYS
L
NE
-
COWRACTOR'a MAL04 ADORM
CONMAWFION UM11M
UENDEA'a W"$G ADORE1a
Fire lace
Total Valuation S
��� OA ��
ucEsE NO.
Flin Fee $ 20.00
ARCWMCT OR ENOr+EMIS MAILING ADORESa
Permit Fee $
Plan Checking Fee S
eu1.0"A REsa
Energy Plan Checking Fee i
C/Leju/ LcF cod 9
i
PERMIT FEE
W'r NO.
SUDOW10"NAA!
PARce!L MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex O Mobilehome O Other
aPEcsr
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
TYPE OF WORK
New O Addition O Remodel O LM117 Instalation O Other O
Describe Work
Each as water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 Q
,
Building sewer 15.00
Mobile Home IS I G1 W1 @20.00
PERMIT FEE _
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 00°v oR `�8
aoaA oR u:sa 23.00
Mein Service 2001% TO 1000A 46.00
NEW CONST.
OR ADDNS. ( °Na P. 3.50M
MUITFOUTLEr
N01aRE5�o. eRwew roily 97.50
tX. OCCU . OVRET OR FKMAES
aAL 3 ";; .70
EX. OCCU % ls=Esso6 . PP oR
ovnFEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
6.50
Ventileti
PERMIT FES I !
Mobile Home Installation Fee E
Energy Inspection Fee $
occ CONST. TYPE TOTAL FEE $
NA 2. 0. FEES IMP n=O coo, PARCEL 1 ;071 GSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
....K,o.�y,n..�a&-,�.. •h_^ Zirr.;�: •'vrvrt..-o .i.�A�Rs-L+ r.:��p`r���"�. "1�"Y'!M'�!•�`q�
v
COUNTY OF BUTTE - DEPARTMENT OF L'EVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT ��'Z�T
ASSESSOR PARCEL NUMBER 1 _ G 1 Q O r /
iJ
ZONING
BUILDINGPERMIT
OWNER * y
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG ADDRESS l
C/f_j
Q Q
CONTRACTOR'S NAME,
L.._.
TELEPHONE
3
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ C O
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 17 4A
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF P/16uplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remoodell�❑ Utilities ❑ Installation ❑ Other ❑
('
Describe Work: C,
G
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
Ca20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class �,7 ��
�_ 31 Lic. No. __*
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
4�7 I have and will maintain workers' compensation Insurance, as required by Section
/i 3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' mpensation iriXurance carrier and policy number are:
Carrier f l r,
Policy Number'—n 1117
(The above sections nee not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that H I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith. comply with those provisions. 7
91 / Date r�- ' "
X �. ✓+, I�� �—t
Signature tof Applicant - ❑ Owner Q Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200ATO ,000A
46.00
NEW CONST. DWELLINGOCCUP. SO
EL
OR ADDNS. ( a ACC. S.3.5QFT;
LNON•RESID. T. MULTI.OU,cTSTLET 97.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FIXTURES
Ex. Occup. eA� � I:w
Ex. Occup. oUnEDTSA Ao .oeA
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPEr•
TOTAL FEE $
FEES
IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
1 r2
B �Date
�'� ..�
PERMIT EXPIRES ON / -* —+/.t✓(�
Date
ReceiptNo.
WHITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�'OUNTY OF BUTTE - DEPARTMENT OF DEVELNOMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER/y ^ D y ® p I
ZONING j
BUILDING PERMIT
OWNER n
/ v
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNER'S -`MAILING ADDRESS 9 S / JE L., /1/ 62
CONTRACTOR'S) -L-
TELEPHONE
Ja
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ IS90
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
- d
Energy Plan Checking Fee
$
$
PERMIT FEE
$ �-=
IAT NO.
SUBDIVISIONS NAMEMAP
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK—
New ❑ Addition ❑ Pemodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: All& bil C, .�
L a ti r,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W III@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
600V OR LE S
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class -31 Lic. No. S3c� e �N
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors license
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'pen ation ir�urance carrier and policy number are:
Carrier _MP 6 "it
Policy Numbers %
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwit comply with those provisions.
�y
X Date / ')
Signat re f Applica t - Owner Contractor ❑ Agent
An OSHA ermit is required for excavations over SO" deep and demolition or construction
of structures over 3 stories in height.
Main Service aooA To t000A
46.00
NEW CONST. DWELLING UP. s0
OR ADDNS. ( 8 ACC. BLDS. 3.50Fr.
FIOµR6IU RANCHMULTbOUTLET @7,50
POWEPPARATUS
8 SINGLERAOUTLET CIR.
O 1.00
�(, OCCU OUTLET OR FIXTURES 20 00
Ex. Occup. 0FUT1 D gESI6.0EA 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPEq
TOTAL FEE $
HAZ.
D. FEES IMP
FLOOD
I CDF
PARCEL
I PO
HD
ISSUE
This permit is hereby Issued under
of the Butte County Code and/or
indicated above for which fees have
B
PERMIT EXPIRES ON:Z —a
the applicable provisions
Resolutions to do work
been paid.
...�
ate
g'-Aeoo
to
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERI
(Rev.12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER zO""° -j2 / BUILDING PERMIT
OWNER
^ V / 1 TELEPHONE l
i l =t SO. FT. OCC. BUILDING VALUATION
OWNER! MATING ADDRESS Q
ids
0OMRACTOR'9 NAMETELNE
.2t -P , 'a 7 � 1,j
CONMACTORB MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MNUNO ADDRESS
ARCHITECT OR ENGINEER
ARCHITECT OR ENGINEER'S WLLJNG ADDRESS
BUILDING ADDRESS
LOT NO. j I SUBDNISIONSMW
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECFY
TYPE OF WORK
New ❑ Addition ❑ model [31tiKws E3Ration, /❑ er O
Describe Work: /zle _ z4 1�Y 1
Total Valuation Is
Flin Fee
21,00
S
20.00
Permit Fee
S
D p
Plan Checking Fee
S
Misc. Wiring
Energy Plan Checking Fee
b
Main Service
•
b
NEW CONST.
PERMIT FEE
0,7
PLUMBING PERMIT
3.50 R.
Fling Fee 20.00
Each Trap
07.50
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
020.001 1
Ex. OCCU OUTLET OR FIXTURES
PERMIT FEE
!
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service
EOOV OR LESS
20.00
Misc. Wiring
sow OR LEss
23.00
Main Service
200A TO I000A
46.00
NEW CONST.
OCCUP.
DwEL11C.
OR ADDHS.
i ACC, S.
BID
3.50 R.
N C
NON•RESID.
MULTI -OUTLET
_BRAWN CIRCUR9
07.50
Ex. OCCU OUTLET OR FIXTURES
20 W 1.00
SAL Q .SO
Ex. Occu ovn m tREs .,Fw
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE b
MECHANICAL PERMIT Fling Fee 20.00
Heatino
6.50
Ventilation
PERMIT FE t: $
Mobile Home Installation Fee b
Er:- rgy Inspection Fee b
occ IST. TYPE TOTAL FEE $ -7 Ll o:°
. D. FEES IMP I FLOOD I CDF I PARCEL I PO I ND 1 4,111E
This permit is hereby issued under ,he applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Date)